LISA ANN HARDY (R.D. L.D.) – Registered Dietitian, NPI 1679813489
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
94 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in ID
Provider Addresses for LISA ANN HARDY (R.D. L.D.)
3910 WASHINGTON PKWY
IDAHO FALLS, ID 834047596
Phone: (208) 523-1122
Fax: (208) 523-2582
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130628000475 | I | Registered Dietitian Or Nutrition Professional | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97803 | Therapy procedure reassessment for nutrition management, each 15 minutes | 76 | 17 | $0 |
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 63 | 15 | $0 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 60 | 29 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | ID | |
| E N D O C R I N O L O G Y | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| Endocrinology, Internal Medicine | ID | |
| Registered Dietitian Or Nutrition Professional | ID |
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